Overview

SUMMARY
Provides general medical, preventive, acute and chronic care and treatment to patients in medical facility such as clinic, health center, or public health agency, under direction of Physician, by performing the following duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

1. Performs physical examinations and preventive health measures within prescribed guidelines and instructions of Physician.
2. Orders, interprets, and evaluates diagnostic tests to identify and assess patient’s clinical problems and health care needs.
3. Discusses case with Physician and other health care professionals as needed to prepare comprehensive patient care plan.
4. Prescribes or recommends drugs or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures.
5. Refers patients to Physician for consultation or to specialized health resources for treatment.
6. Assists other staff members as directed by the medical director.
7. Institutes referral and coordinate patient services to promote continuous comprehensive care at the primary, secondary and tertiary levels.
8. Incorporate into the plan of care provisions for the preventive measure to improve health status based upon individual, cultural, psychological, social and environmental factors.
9. Provides information for the patient, enabling patient to make realistic decisions in solving health and related problems and insure joint responsibility with the professional health team members for the outcome of the patients care.
10. Advises and counsels patients about normal developmental and maturational stages, and normal life crisis. Identifies and intervene in problems related to these areas.
11. Collects and records data according to the problem oriented medical record system, assuring timely and accurate completion of data entry into patient records.
12. Provides support and counseling for patients with chronic disease in regard to psycho-social, environmental and physical well being.
13. Institutes emergency medical measure in life threatening situations.
14. Assess and intervene in common developmental and behavioral problems of individuals in the family.
15. Counsels men and women on available contraceptives and facilitate making the indicated birth control measures available.
16. Monitors changes of patients with chronic disease.
17. Prescribes clinic drugs to the patient in accordance with the formulary and policies of the health manpower pilot project 129 or under the supervision of a prescribing physician. Physician orders may be given to the FNP orally or in writing or in accordance with a written standardized procedures developed under these guidelines. Attends and participates
in organized meetings as requested.
18. Transmits a valid prescriptions to a pharmacist, by telephone, or in person or by written prescription, as so authorized by the HMPP 129 or in accordance with written standardized procedures.
19. Maintains patient confidentiality.
20. Performs other related duties as assigned.

SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities.

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE
Graduate of a school of nurse practitioners and a minimum of 1 year experience as a family nurse practitioner in an ambulatory center. Knowledge of professional nursing theory, practice, and general care to deliver and evaluate patient care. Knowledge of organizational policies, regulations and procedures to administer patient care. Knowledge of medical equipment and instruments to administer patient care. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing care. Skill in taking medical history to assess medical condition and interpret findings. Skill in preparing and maintaining records, writing reports, and responding to correspondence. Skill in developing and maintaining quality assurance. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt and apply guidelines and procedures.

LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

MATHEMATICAL SKILLS
Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.

REASONING ABILITY
Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

CERTIFICATES, LICENSES, REGISTRATIONS
CPR certification must be acquired within six months of appointment and renewed on a regular basis as so stipulated by the certification. Current Nurse Practitioner license required.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to walk. The employee is occasionally required to stoop, kneel, crouch, or crawl and taste or smell. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

CUSTOMER RELATIONS
Responds promptly and with caring actions to patients and employees. Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.
Maintain professional working relationships with all levels of staff, clients and the public.
Be part of a team and cooperate in accomplishing department/organizational goals and objectives.

QUALITY MANAGEMENT
Displays knowledge of normal signs of human development and ability to assess and provide age appropriate care
Contribute to the success of the organization by participating in quality improvement activities.

SAFETY
Maintain current knowledge of policies and procedures as they relate to safe work practices.
Follow all safety procedures and report unsafe conditions.
Use appropriate body mechanics to ensure an injury free environment.
Be familiar with location if nearest fire extinguisher and emergency exits.
Follow all infection control procedures including blood-borne pathogen protocols.

HIPAA/COMPLIANCE
Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes.
Comply with all regulations regarding corporate integrity and security obligations.
Report unethical; fraudulent or unlawful behavior or activity.
Specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system.
Maintains client case files in accordance with all applicable laws and regulations and IHC policies.

Indian Preference shall be given in accordance with IHC’s Policies and Procedures Section 3, Part 3-1, Paragraph 5